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Complex Partial SeizureAka: Temporal Lobe Seizure, Temporal Lobe Epilepsy, Psychomotor Seizure

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  1. Epidemiology
    1. Most common Seizure
  2. Pathophysiology
    1. Initiate in temporal lobe
    2. Frontal lobe commonly involved
  3. Symptoms
    1. Complex and variable
    2. Aura may be present
      1. Gastrointestinal symptoms
      2. Fear
  4. Signs
    1. Motionless stare heralds Seizure
    2. Consciousness is always impaired
    3. Automatisms
    4. Oral facial moves
    5. Fumbling or picking movements
    6. Duration: 30 seconds to 2 minutes
    7. May progress to Generalized Tonic Clonic Seizure
  5. Differential diagnosis
    1. Absence Seizure (typical or atypical)
    2. Behavioral disturbance
    3. Migraine Headache
  6. Management
    1. Medications (60-70% response rate)
      1. Carbamazepine (Tegretol)
      2. Phenytoin (Dilantin)
    2. Surgery: Temporal Lobe Resection
      1. Indicated for failed medical therapy after 1-2 years
      2. Efficacy
        1. Better TLE Seizure control than with anticonvulsant
        2. Wiebe (2001) N Engl J Med 345:311

Epilepsy, Temporal Lobe (C0014556)

Definition (MSH)A localization-related (focal) form of epilepsy characterized by recurrent seizures that arise from foci within the temporal lobe, most commonly from its mesial aspect. A wide variety of psychic phenomena may be associated, including illusions, hallucinations, dyscognitive states, and affective experiences. The majority of complex partial seizures (see EPILEPSY, COMPLEX PARTIAL) originate from the temporal lobes. Temporal lobe seizures may be classified by etiology as cryptogenic, familial, or symptomatic (i.e., related to an identified disease process or lesion). (From Adams et al., Principles of Neurology, 6th ed, p321)
ConceptsDisease or Syndrome (T047)
ICD9345.4
EnglishCONVULSION PSYCHOMOTOR, EPILEPSY TEMPORAL LOBE, PSYCHOMOTOR EQUIVALENT, Psychomotor seizure, Psychomotor seizures, Temporal Lobe Epilepsies, Temporal Lobe Epilepsy
Spanishconvulsión psicomotora, convulsión psicomotriz, convulsión sicomotora, convulsion psicomotora, convulsion psicomotriz, convulsion sicomotora, epilepsia del lóbulo temporal, epilepsia del lobulo temporal, epilepsia psicomotora, epilepsia sicomotora
CreditsDerived from the NIH UMLS (Unified Medical Language System)


Complex partial seizure with impairment of consciousness (C0270834)

ConceptsPathologic Function (T046)
EnglishComplex partial seizure, Complex partial seizure with impairment of consciousness, Complex partial seizures with consciousness impaired, Psychomotor fit
Spanishconvulsiones parciales complejas con alteración de la conciencia, convulsiones parciales complejas con alteracion de la conciencia
CreditsDerived from the NIH UMLS (Unified Medical Language System)



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